- Robert Half Accountemps (Los Angeles, CA)
- …to the supervisor when required. * Incorporate authorization details in claim submissions and follow procedures to secure retroactive approvals if needed. * ... in medical billing, collections, and insurance processes. Responsibilities: * Review submitted claims to confirm accuracy and ensure they are sent to the appropriate… more
- MyFlorida (Tallahassee, FL)
- …and enforces cases under state and federal antitrust laws, Florida False Claims Act, Florida securities law, Civil Racketeering and as needed civil complex ... documents. Establish guidelines and policies for verifying, allocating and distributing claims against damage recoveries in parens patriae and governmental monopoly … more
- Penn Medicine (Philadelphia, PA)
- …office hours **Summary:** + The Charge Capture Specialist reports to the Supervisor of Billing; this individual performs all pre- claim submission activities, ... by working charge review work queue to ensure that claims are clean and should be paid promptly by...variety of sources in order to accurately bill medical claims . + Ensures information entered in the system is… more
- HUB International (Tallahassee, FL)
- …a liaison between the client and insurance carriers for service, enrollment, claims and administration; constantly maintaining quality and service standards as it ... liaison role with insurance company service partner contacts (such service and claim representatives) and client contacts. + Confidentially assist with all claims… more
- Aston Carter (Salem, OR)
- …MIPS performance reports and support initiatives to improve coding accuracy and claim integrity. + Lead performance improvement projects to enhance charge capture, ... 2 years experience as a Coding Analyst or Coding Supervisor . + Over 5 years of coding experience, including...use of data analysis tools. + In-depth understanding of claims processing, clinical edits, fee schedules, and payer contracts.… more
- Cardinal Health (Bismarck, ND)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... relevant federal/state payor regulations. + Flag trends or recurring issues for team Supervisor or Manager. + Meet daily/weekly productivity goals (eg, number of … more
- Banco Popular Puerto Rico (San Juan, PR)
- …issues. + Gather, analyze, and discuss information and data statistics with the supervisor to address timely matters that require attention. + Support efforts to ... partners and second line of defense to define corrective actions. Complaint or Claim Support + Support in analyzing compliant issues or topics escalated for… more
- PeaceHealth (Vancouver, WA)
- …and manages escalated complaints and grievances in partnership with the supervisor of patient relations, continually assesses the complaint and grievance program ... clinical risk management risk investigations and response to events, potential claims , and grievances presented against caregivers, physicians and the organization… more
- Bombardier (Opa Locka, FL)
- …system updates and close the work order + Manage OEM invoice disputes and claims (from claim filing to resolving disputes and securing payments) + Support ... performance metrics) for assigned area and report status, issues, and risks to immediate supervisor on a scheduled basis **How to thrive in this role?** + You have… more
- LA Care Health Plan (Los Angeles, CA)
- …medical necessity; benefit coverage appeals and reconsiderations, and complex provider claim disputes. The position is further responsible for tracking, trending and ... assignment of cases. Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze monthly appeal and… more